MEDICARE: MS. CATHERINE ELIZABETH DELORME PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	005883-1	NY

General Provider Information

NPI Number	:	1023232337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE ELIZABETH DELORME PT

Provider Business Mailing Address
First Line	:	4250 TRESTLE LAKE DR
Second Line	:
City	:	MUNNSVILLE
State	:	NY
Zip	:	13409-9563
Country	:	US
Telephone Number	:	315-495-2505
Fax Number	:

Provider Business Practice Location Address
First Line	:	VALLEY PHYSICAL THERAPY
Second Line	:	5156 S. MAIN ST
City	:	MUNNSVILLE
State	:	NY
Zip	:	13409-4058
Country	:	US
Telephone Number	:	315-495-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/08/2007

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